Identify sepsis in patients by using early warning scores, doctors are urged

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General practitioners and hospital doctors should all use an early warning score system when they suspect that a patient may have sepsis to help improve the recognition of cases, a report recommends.

Nearly half (45%) of patients with sepsis admitted to hospital with no other obvious problem either died or were left with a disability, an audit of cases in England, Wales, and Northern Ireland has found.

Breast feeding may cut risk of diabetes in high risk women

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Women with gestational diabetes should be encouraged to breast feed exclusively for at least two months to reduce their risk of developing type 2 diabetes, say researchers.

A prospective cohort study published in the Annals of Internal Medicine found that breast feeding exclusively for two months halved the risk of diabetes in women with gestational diabetes.

NHS staff invited to comment on new policy to encourage whistleblowing

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The first national whistleblowing policy for the NHS aims to encourage doctors and other NHS employees in England to report bullying, threats to the safety of patients, and other harmful practices in their organisation, without blighting their careers in the process.

The draft policy, drawn up by Monitor, the NHS Development Authority, and NHS England, will be open to consultation for eight weeks from 16 November. NHS organisations, patients, and staff are invited to comment, in confidence if they wish.

Errors in the most recent BNF and BNFc

bnfappNationally it has been recognised that there are a small number of clinically significant errors in the most recent BNF (BNF 70) and BNF for Children.

Be aware that the BNF has not been circulated to Trust staff due to the errors contained within.

The online and app versions of both, accessed via an OpenAthens account, have already been corrected. Please contact the Library and Knowledge service for advice on downloading and accessing the app.

The BNFc is available to Trust staff with these errors – please contact your ward pharmacist if you require further information; the Library and Knowledge Service has printed a list of the errors.

Spotlight on……..Wiley Nursing and Medical Journals

Wiley journalsAll trust staff have access to a collection of over 200 online journals covering key medical and nursing titles. Our subscription provides full text access to articles published in these journals, giving access to published research and evidence which can support your workplace practice, CPD, research and educational activities.

The journal titles are linked into our healthcare databases, electronic journal lists and can be accessed from the library web pages when both on and offsite by using your Athens log in.

Please contact the library on 01625 661362 if you have any questions

Antibiotic Awareness Week 16-20th November

This week it is World Antibiotic Awareness Week. There has been much in the media regarding the threat of antimicrobial resistance and what we might do to respond to the threat. Various initiatives are being undertaken across the NHS  and yesterday was European Antibiotic Awareness Day. Which was used to promote important messages to patients, healthcare professionals and commissioners about the responsible and appropriate use of antibiotics and the need to prevent the spread of infections. You can read the UK5YR Antibiotic Resistance Strategy to find out more.

You can also sign up as an Antibiotic Guardian to ensure antibiotics remain effective in the future to combat infectionscombat the germs

Caring Together Induction Pack: now available online

Caring Together Eastern CheshireThe new Caring Together Induction Pack is now available online.

The intention is to promote the pack to all new starters with health and social care organisations commissioning or providing services for the people of Eastern Cheshire. Organisations include third sector partners and providers of social housing.

For the avoidance of doubt, the pack is not relevant to employees involved exclusively in commissioning or providing services outside Eastern Cheshire. This pack is to be made available with immediate effect to new recruits, either salaried or voluntary.

At the end of every third month, a member of the Caring Together team will send managers a link to a brief online survey for new recruits to complete. This will enable them to measure awareness of the pack and the extent to which it is achieving its aim of improving understanding of Caring Together. Consultees will have the option to remain anonymous as the purpose of the survey is not to test individuals’ knowledge or pay attention to people who don’t answer all the questions correctly!

While the principal aim of the survey is to ensure that new starters are introduced to Caring Together as soon as practicable, the pack can also be shared with colleagues more widely. Reference copies of the pack are also available in the Staff Library (Top Floor, New Alderley House).

Many thanks to all in anticipation of your support for this important initiative to promote understanding of – and engagement in – our transformation programme.

Looking for evidence to support your research, answer clinical questions or to support your service delivery?

We can help you!

We are skilled at searching healthcare resources, such as NICE Evidence, medical and nursing databases.   We can save you time, by quickly finding information on your behalf,  helping you find the evidence and publications you need to support your decision making and research.

If you work for East Cheshire NHS Trust take advantage of our free searching services, available to all East Cheshire NHS Trust hospital and community staff.

More information about services and contact details can be found on our website here: Outreach Services

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Issues with Athens: self-registration and transferring accounts between trusts

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Please be aware that there are currently issues with OpenAthens – staff members transferring to East Cheshire from another Trust will be temporarily unable to transfer their accounts, and self-registration for staff members without an account is currently unavailable.

Should you wish to create an account, please contact either Steve Collman (steve.collman@nhs.net), Amanda Gardner (amanda.gardner3@nhs.net) or Anne Webb (anne.webb12@nhs.net) – we will be happy to create an account for eligible staff members.

Please accept our apologies for any inconvenience these may cause.

Informa Healthcare Journal collection now available via Athens!

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The Library and Knowledge Service have gained access to a number of Informa Healthcare journals and full text articles which are now available via Athens. These include titles such as Women’s Reproductive Health, Immunological Investigations: A Journal of Molecular and Cellular Immunology, Aging & Mental Health Journal and Dermato-Endocrinology Journal to name a few. To access just log into Athens and then click on Taylor & Francis Online in the list of resources. Access will also work via directly visiting the Taylor and Francis website.

Clinically silent myocardial scars are common in middle aged and older people, study finds

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Nearly 8% of middle aged and older people in the United States have myocardial scars suggestive of myocardial infarction, almost 80% of which have not been detected by electrocardiography or clinical evaluation, a study published in JAMA has found.

The researchers wrote, “The clinical significance of unrecognized myocardial scar remains to be defined, although prior myocardial scar has been noted pathologically in more than 70% of patients with sudden cardiac death but without prior known coronary artery disease.”

Did you know you have online access to the Oxford Textbook of Medicine, Oxford Handbooks and Specialist Handbooks?

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We have access to titles in all the clinical specialties such as obstetrics, gynaecology, pediatrics, pain management, oncology, palliative care, surgery, critical care and many more!

You can log in to your OpenAthens account to access the Oxford titles available listed in your resources section.

You can also find the list of  titles available by going to the Oxford Medicine website and then logging in with your OpenAthens account.

Did you know that the library is available 24/7?

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If you need somewhere quiet to work uninterrupted or want to catch up on study time – the library in New Alderley House, at Macclesfield Hospital, can be accessed 24 hours a day.

You can use your  East Cheshire NHS Trust swipe card to gain access into New Alderley House and onto the 2nd floor where the library is located.

All the computers are available for use and the self-service machine can be used to borrow or return books.

We also have  an e-learning folder available, with documents providing guidance and trouble-shooting tips to resolve the most common issues.

If you want to find out more then just drop by or give us a call on 01625 661362.